Mary Jean B r o wn, S - PowerPoint Presentation

Slide1

Mary

Jean Brown, ScD, RNHealthy Homes and Lead Poisoning Prevention ProgramCenters for Disease Control and Prevention

K

e

yno

t

e

Add

r

ess

: Heal

t

h

y Housi

n

g

a

F

r

ame

w

ork

f

or

Action

Healthy

HousingA Framework for ActionHome is the place where, when you have to

go

there,

They have

to

take

you

in.

Robert

Frost

I. Incre

ase public awareness by creating a national dialogue on

he

al

t

hy

ho

u

sin

g

an

d

by

promoting

he

al

t

h

l

i

teracy

about housing;A national dialogue will improve the public’s understanding of the relationship between housing and health.Increasing health literacy should be done in many contexts and settings, from family members and academics to the many professionals and individual stakeholders involved in the housing industry.

Greate

r

kn

o

wle

d

g

e

ab

out

ke

y

health

issue

s

wil

l

give people

t

h

e

capacit

y

to

make

in

f

ormed,

evidenc

e

- based,

an

d

compass

i

onate

ho

u

sin

g

deci

s

ions.

2

. Take actions to ensure that all Americans have access

to

h

ealth

y,

safe

,

an

d

affordable

housing;

Hous

ing

design

and

construction can hamper ease of mobility within a home and interfere with reas

onable access to important features of the house, such as toilets and shelving in cupboards

and closets for elders and people with disability .More than 16 million U. S. f

amilies spend more than 50% of

their income on housing

and

may not

be able to purchase health care, medicines or adequate food..Living in neighborhoods with concentrated poverty level increases emotional stress and exposure to intentional injury

3. Promote pe

ople’s physical and mental health throughevidence-based

heal

thy

hou

sing i

nterventions

The

pre

s

en

ce of

s

a

fe

t

y

mea

sures such as lowering hot water temperature or installing window guards

results in a decrease in pediatric burns and falls.When a fire occurs in a home with a

working smoke alarm, the risk of death is decreased by 40–50%.Lead

paint abatement reduc

es the likelihood that more

children

will be lead

poisoned in homes where children have been poisoned in the past.Radon testing and CO monitors reduce deaths.Integrated pest management, the use of the least toxic baits and insecticides necessary, results in fewer insect pests and less reliance on chemical pesticides.Involuntary exposure to secondhand smoke can be prevented by making homes, workplaces and public places smoke free

1

Structural DeficienciesInstallation of w

orking s

moke/C

O

alarms Isolation

4-sided

pool

fencing

Pre-set safe

tem

perat

u

re

hot

water heaters Air condition during heat waves

Interior Chemical AgentsRadon air mitigationthrough active subslab depressurizationI

ntegrated Pest Management (pesticide reduction) Smoking bansLead hazard

controlSuffi

cient EvidenceDrinking w

ater

& was

te treatmentVoluntary drinking & wastewater treatment standards for small systems & private wellsTraining for small system personnelGuidelines for immuno-compromised individualsInterior Biological AgentsMulti-faceted tailored asthma interventionsIntegrated Pest Management (allergen reduction)Moisture intrusion elimination

4.

Invest in research that advances our understanding of

how he

a

lthy

ho

u

si

n

g

improves

phys

i

cal

and

mental hea

l

th

Fir

s

t,

identify additional housing factors that can either harm orpromote and protect people’s health.Second, develop an understanding of the causal sequences of events leading to specific injuries.Third, describe the physiologic pathway that links the housing environment and mental health.

Fou

r

th,

develop

a deeper

und

e

r

s

tanding

of

building pra

c

tices

that

improve

residents’

health.

Fi

f

th,

i

m

prove

the

s

c

ienti

f

ic

and

analy

t

ic

methods

available

to res

e

arche

r

s

who

und

e

rta

k

e

formati

v

e

res

e

arch

in

t

his

area

I

nterior Biological Agents

D

ehu

midifica

tion



G

e

n

eral

& l

ocal

e

x

ha

u

st

ventilation (kitchens & baths)Air

cleaners (to reduce asthma)Dry steam cleaningVacuuming

Interior Chemical AgentsRadon mitigation in drinking

waterPo

rtable HEPA air

cleaner

s to r

educeparticulateAttached garage sealing to limit VOC intrusionParticulate control by envelope sealingDrinking and Waste Water TreatmentUV and other filtration point of use systemsDNA to track pathogen sourcesLocation of privies and failed drinking water and wastewater systemsStructural DeficienciesHome safety education on stair gates, window locks and window g

uards,

and

m

atch

& li

g

ht

e

r

st

o

ra

g

e

w

ith

cabin

e

t

locks



Fall pre

v

ention

by han

d

rai

l

s,

g

rab

bars,

and

impro

v

ed

l

i

g

hting

Needs Mo

r

e

Fie

l

d

Evaluation

2

5. Invest

in research that increases ourunderstanding of the long-term

economic

benefits of he

althy

hou

si

n

g.

Further

res

earch

is need

ed

to

determine

the relative benefits and costs of modern construction prac

tices such as increasing stair width, increasing traction on floor surfaces, improving home lighting, and installing han

drails.In addition, the potential for cost savings and other benefits that res

ult in improvements in both

residents’ health and co

st-s

avings through ener

gy conservation should also be investigated.

Health

Care and Productivity Costs for Illnesses and Injuries:Asthm

a-$18.3

bill

ion

a year

Burns-

$7.5 bill

i

on

a year

Childhood

Lead

Poison

i

n

g

-$2,552

for each 1 µg/dL increase in blood lead levelFalls in 2000-$81 billion

in lifetime costsDepression-$83.1 billion in lifetime costs